Individual provider · Type 1 NPI

Kimberly Ann White

Addiction (Substance Use Disorder) Counselor · Lodi, CA

NPI number 1649459546 Active

Practice location

441 S. Ham Lane Suite A
Lodi, CA 95242

Call (209) 224-8940 Map

Fax (209) 224-5076

Mailing address

441 S. Ham Ln, Suite A
Lodi, CA 95242

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6427 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649459546

Kimberly Ann White's National Provider Identifier is 1649459546, issued on Oct 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lodi, CA. The record was last updated on Feb 16, 2017.